TX HHS Form 2802. Youth Empowerment Services (YES) Waiver Notice of Participant Rights

The TX HHS Form 2802, Youth Empowerment Services (YES) Waiver Notice of Participant Rights, is a crucial document that outlines the rights and responsibilities of participants in the YES Waiver Program. This form helps ensure that individuals receiving services through this program understand their rights and can make informed decisions about their care.

This notice requires participants to provide certain information, including their name, date of birth, Medicaid ID number, and Wraparound Provider Organization (WPO). The form also outlines the participant's rights, which include being free from abuse, neglect, and exploitation, as well as having the right to contact the YES Waiver Program Manager or local Client Rights Office if dissatisfied with services. Participants have the right to request a Medicaid Fair Hearing in certain situations, such as denial of services or placement in a more restrictive setting.

The form also highlights important sections, including the participant's understanding that they may be placed in a more restrictive setting if deemed necessary for their safety, and that providers must report suspected abuse, neglect, or exploitation to authorities immediately. Participants have the right to choose their Wraparound Provider Organization and Comprehensive Waiver Provider organization, as well as the direct service staff that will provide services to them. This form is essential for ensuring participant rights and promoting informed decision-making in the YES Waiver Program.